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HomeMy WebLinkAboutZ-23526 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED . PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23526 Date MARCH 6, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 300 BOISSEAU AVENUE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 63 Block 3 Lot 5.3 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a Two Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23526 dated MARCH 6, 1995 was issued, and conforms to all of- the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is TWO FAMILY DWELLING WITH ACCESSORY GARAGE The certificate is issued to HARRY & VERONICA SHEPPARD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N 717834-FEB. 18, 1969 PLUMBERS CERTIFICATION_ DATED N/A *THIS UPDATES PRECO Z-10619 ISSUED ON AUG. 5, 1981. Bui ding Inspector Rev. 1/81 Form No. 6 - �.._ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ;; � a 765-1802 BLDG. DEPT. APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OF, ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. - Submit Planning Board Approval of completed site plan. requirements. B. For existing buildings (prior to' April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: ' 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. ,2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . ec# .3..1QQS/. . . . . . . . .. . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . X. . . . . . . . . . . . . Location of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. . . . . • //. .Street Hamlet Onwer or Owners of Property. , . . . .!'g�� , �.ve�©��C , ,' ejf�4A. . . . . . . . . . . . . . . .. . .• • . "ounty Tax Map No 1000, Section. . . .�:3. . . . .Block. . . . o . . . . . . . .Lot. . . . . .'. . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . ?ermit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 'lealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . —Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . 'lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . -equest for: Temporary Cer.tificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . ee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . V: . . . . . . . . . . . . . . . . . . . . . . . . Qt', 7 �! Y� C a S. . . �APPLICANT• .��p✓`- � �� o- STATE OF NEW YORK) ) SS: COUNTY OF SUFFOLK) DANIEL T. SMITH, being duly sworn says: I live on Mechanic Street, Southold, New York and have been a builder in that area for more than 40 years. On November 11, 1968 Frederic P. Rich acquired title to premises known as 300 Boisseau Avenue, Southold, on which was located a two-story house and garage, which house had been con- structed more than 50 years before. Shortly after acquiring title , the said Frederic P. Rich engaged my firm to make inter- ior repairs and alterations necessary to improve the interior and make it more suitable for habitation and to divide the in- terior space into two separate apartments with modern kitchen appliances and modernization of bathroom facilities. These in- terior alterations were made in the fall and winter of 1968 and the early spring of 1969 . The alterations were completed in the early spring of 1969 and final bill rendered on June 12, 1969 , which was paid shortly thereafter. Sworn to before me thisX q-'4 day of July, 1981 k Daniel T. Smith ERIKA TAGGA NeTOY PUBLIC, State of New York Ne. 4728213 Qualified in Suffolk County Commission Expires March 30, 1!�3 STATE OF NEW YORK) ) SS: COUNTY OF SUFFOLK) FREDERIC P. RICH , residing at 52965 Main Road, Southold, N. Y. 11971, submits this affidavit in support of application for certificate of occupancy on house located on parcel shown as Parcel B on the annexed survey map known by street number 300 Boisseau Avenue, Southold, New York on ground of "pre- existing"land use. Said house (and garage) was constructed and used many years prior to April, 1957 as a private dwelling, said house being more than 60 years old. The property was purchased by me on November 11, 1968 and the interior of the two story house renovated, modernized and altered by Daniel T. Smith shortly thereafter in such a way as to make it suitable for two family occupancy, all in the manner set forth in his annexed affidavit. Ever since that time the house has been rented to two families for private occupancy. I am informed that at the time of said renovation, since it did not entail any structural changes to the exterior no build- ing permit was required and no certificate of occupancy was then issued. As the present owner of the house I now make application for a certificate of occupancy on the ground of "pre-existing" land use. Frederic P. Rich Sworn to before me this 29th day of July, 1981 (-k__%4Y PUBLIC, State of Ne No. 4728283 C;ualified in Suffolk County Commission Expires March 30, 19 Proy ak RPREAU OF ELEO Mr, N717834 85 JOHN STREET,-NEW YORk rAVW.TLJRIC 1003E _ Pare Febroar 18' 1 6 A0pticat.ion No.on file 1.• 2 7 /1 -, (�rr#�f�eia y 9 9 ;. N 7 .7 S J + tIIiQE`fh'b rler trtr 6i etitllpmerit as dnschllierl below and introdllheed by the appllc6ri[riente�brt Elie above application•7eunibeir in the prem�ewi Mr. Fred Rich,,Colonial. ;Village:,:'•Boia �r;t l ke..;','.S.ou;thold,,: L'..T. ir tha folloulinq location; Ynd:,n , ,� Ob rc1ion'-•' Block G t .8jde I- was examined on �ay 19 and found,.to be-in corhIj lgnee mith-the requirensenu of.t.hii Board. � f i �.vy 'iFIKT R E{E�TACLiS ,SVYITCHES, FIXTURES, 'RA400 , CO.OKtNaDECKS OVENS DISHWASHERS EXHAUST FANSM R! 'Ot1TLETi - INCANDESCEINT1 RbOREScmr :,IC ;AMT,.' IW(�,, T:Iii-'X.'. 'Mli_ X.WI -AMT. K.W. T AMT.' K'e,: •`'rS�f' :26- I _ „21, 2 1, •,~t I�!ai_ �;i ',1-•:,' .;P'.�IJ- y; ;i :I - I � I:` _ !.' OYARS, FURNACI MOTORS'. FUTURk AfrL1At Ei TINDERS' ,SrI'16 Rt�S�T 6lOtiKS l �' UNIT wimi tl MU1T ' LET ' �y,,S TRANS,,- :AiAT. H SYSTEMS H,�. , GAS H.P AMT. NO !iI:W,Or BAST. ,AANt., "lT•.c A/.VS,- �, NO:OF FEET AMT. MuTtA .=-i - _ •.I�fl r I'' -I .A_I: .7.L�fµ _ I• :� -',I ,:�J, - ti :�''r i".� 'II •Lt�C{lAif?ilGirrr - 'l: '-I •,• 'I-'.iP t�::' _, ..�_ �` z.: ..f 'iMtTi'ER' • , T ,,�n51,•� 'TYPE -to IW I k3w 7 07M/ 3 I OFCC.COND Pot ff"11 .~ "..A _ 'NO.QT H`t!Q"!' O.Or'iRUrfNlS iT OTHER APPARATUS: t *S,ervi,ce diac'ondiect=• 1p100arrip fl 1' - : 'eerie /s . b' 2nd 1_: '1' ',I Tanelbdard/s':' :1""86i.r 125am•'a' _- � ;i :L �fh 'II':II_ =,I_.•. y��- ,i; .r,-�i =i' --`'--,Ii---r1'•':I'L-�, _ ..' '/��- _ - •. ,I: -- "� a' i,'Ir � .I .'I � - - - •'��:it„,cV�" _ �1!-.'ll ''.'' -_ I. I•r' � .';ti'�.� .t� - Peter Bog?vio, " = Oaklawn Ave. , �xt. , l .Southold, L:I• :,i Ir- �;" I;. i; ' STAT�ISUrERIN<'M�iQbhi ;. 4I_1his certif'Ico m�u,st nnot b�je�al�ter`eedd in any manner; return-to 'they off® of the-dobrd!'if�.iat,tiri t,_Inspectori may'be1'iderfif ied-.by_Aitir•crFdb.Cd 1s: d z C'v j ^ i L + r A, SUND / 1{ dal N_ i�GtolC �. L� 2C) _50 / CAQPETE-: PATIO ✓ '�"� _I_.J` i�_`�., i OQ Bi.-.acZ-row Unauthorized a@eratlon oraddit!en 0121VG to this survey is a violation of Section 7208 of the New York State �r Education Law. Copies of this survey map not bearing J / the land surveyor's inked seal or embossed seal shall not be considered to be a valid true copy.hereon sha i - FrC HCrtl=j'r� Y" run F I SH PQt-BD only to thee es person fodr whom the survey I o -a Q-1 Is prepared.and on his behalf to the title Company,govemmental agency and ; i -� lli } lending institution listed hereon and to the assignees of the lending insli- I ' tution.Guarantees are not transferable • �L 1 to additional institutions or subsequent y / <� - / owners. SX6 r wIrz- I~ENcs- NE - I gyros R 625 ?. -T. NJF COCt-�Qk1- Q ::� . �. . r. '�� ILS I G = 5TAI-E �. i I I 1 I f.. G.UA2At�S�' .EE�,iM f IF I-tr.Y �`V'J, ()N1AL.TiTL� VLSURE: CO, &Y �,`e' f- ,-'i��.�l �'. •._�..-�..J'r�-r R•Y.l ' "�2,'* 3 , .J ILA